<div class="row">
    <div class="col-xs-12">
        <div class="panel panel-midnightblue">
            <div class="panel-body">
                <form action="" class="form-horizontal row-border"  data-validate="parsley" id="validate-form">
                	<div class="row">

                   		<div class="form-group">
                   		 	<label class="col-sm-3 control-label">区域名称</label>
                   		 	<div class="col-sm-6">
                   		 		<input type="text" id="name" required  name="name"  class="form-control">
                   		 	</div>
                   		 </div>
                	</div>
                	<input type="hidden"  value="" id="course_name" name="course_name"/>
                </form>
            </div>
            <div class="panel-footer">
                <div class="row">
                    <div class="col-sm-6 col-sm-offset-3">
                        <div class="btn-toolbar">
                            <button class="btn-primary btn" id="form-submit">提交</button>
                            <button class="btn-default btn" data-dismiss="modal">关闭</button>
                        </div>
                    </div>
                </div>
            </div>
        </div>
    </div>
</div>
<script type='text/javascript' src='{$Think.GYM_VIEW_JS}cabinet/regionAdd.js'></script>